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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419481
Report Date: 01/31/2020
Date Signed: 01/31/2020 11:37:52 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:POE FAMILY CHILD CAREFACILITY NUMBER:
197419481
ADMINISTRATOR:POE, DEANNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 531-2256
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:14CENSUS: 10DATE:
01/31/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Deann Renee Poe, LicenseeTIME COMPLETED:
11:43 AM
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Licensing Program Analysts (LPA) Shandra Powell conducted an unannounced Case Management visit. LPA met with Deann Renee Poe, Licensee, who guided analyst on a tour of the facility. There were 10 children present with 3 assistants during this visit.

The purpose of the visit is to inform the licensee that the Department has ceased processing the background check for MIKESHA ROWE and has closed the case. LPA advised licensee that Individual #1 cannot work, reside, or be present at the facility unless a criminal record exemption is granted. Per licensee the individual has never worked at the facility.

The licensee disclosed that the mention individual has a child attending the family child care at this time.
LPA advised licensee that Individual #1 cannot have any contact with clients associated to the family day care and may not be present in the facility.

LPA advised Licensee must contact the Background Check Bureau at (888) 422-5669. A copy of the Case Closure CBCB-9 was given to licensee during visit.


There were no deficiencies cited during today's visit.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Deann Renee Poe, Licensee.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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